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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE (INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /� I ► `1 Date: (' o�� Permit Number:l RECEIVED — -- _° -- Building Permit Applicatioi i JAN 2 3 2020 Planning and Development Services ST. Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 / Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITTYPE:GaS Address: tf (O O!Y TH OMD S ein Yo"a Property Tax ID#: -:S-5Q 7 — 76!q"©o Site Plan Name:a _�e 1lrl fie. f1 be-6 K Project Name: Me- K len b e c k GG S -.,• -_- _ DETiAIL'ED DESCRIPTIQNI©F WORK; roNST+RP1CTl(]NHNFORMATION; 54 tuo, e FL Additional work to be performed under this permit -check all that apply: _Mechanical _ Gas Tank —Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: /�c� Sq. Ft. of First Floor: Cost of Construction: $ Z% z J O CS Utilities: _Sewer —Septic Lot No._L� Block No. _ Windows/Doors Roof Pitch Building Height: OWNE-R/LESSEE:: ' CONTRACTOR:, Name A f r 'L, 4 Sent i rtaf:0 AeA left beck Name: Blake Cowdell Addre : 1(oO!��pi6ri �eint �Y Company: Energized Gas City: a1`4 5d. Luc;e State:CL Zip Code: 15Y4 a 6 Fax: Phone No. Address: 1786 Biltmore Street City: Port Saint Lucie State: FL 34984 7723186672 Zip Code: Fax: Phone N0772-466-1095 E-Mail: Fill in fee simple Title Holder on next page ( if different ., from the Owner listed above) E-Mail energizedgenerators@gmail.com State or County License LG34747 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INF O�RMAT N IO DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the Permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WrTH YOUR LENDER OR AN ATIMUNFY RFFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORI STATE OF FLORI¢A r " COUNTY OF A�Cj_.A COUNTY OF (ii�IJCA.G The going inst ment was acknowledged before me The forgoing instrument was acknowledge before me this day of �20W by NrIVJP ��I this bay of �� 20 by i Iae (- Name of person making statement. Name of person making statement. �<_ Personally Known \K� OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced l (Signatur ',;) (Signat rgitfl:� ry P h. 'W"6 as ) •••':;.,, AN - - ;� MY COMMISSION # G 32gg6 Commis si 'WSJ q Commi :,, ,,, MY COMMISSION#GG232946 ''�'• 'o'f EXPIRES: June 27, 2022 i c:• (Sea { RESrJune 27, `JEEP?,4'P' Bonded Thru Notary Public Underwriters •„a!,�R�`--gpr76rp-N8ttf—ry public Underwriters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.